Brault, Jenny K
Brault, Jenny K is an individual health care provider with primary practice located at 2920 Superior Ave , Sheboygan WI 53081. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brault, Jenny K can be contacted via phone (920) 458-3331.Contact Information
Primary practice address
2920 Superior Ave
Sheboygan WI 53081
Phone: (920) 458-3331
Fax: (920) 458-1387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 48971 | Wisconsin |
Profile Details
| NPI number | 1801847074 |
|---|---|
| LBN Legal business name | Brault, Jenny K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Dec 23rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801847074 | NPPES |
| Wisconsin | MEDICAID | 34840500 |
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